Provider Demographics
NPI:1609879055
Name:CHIORAN, GEORGE MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:MICHAEL
Last Name:CHIORAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 ALKYRE RUN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6909
Mailing Address - Country:US
Mailing Address - Phone:614-890-5692
Mailing Address - Fax:614-890-5629
Practice Address - Street 1:450 ALKYRE RUN
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6909
Practice Address - Country:US
Practice Address - Phone:614-890-5692
Practice Address - Fax:614-890-5629
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065200C207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0922461Medicaid
OH000000117383OtherANTHEM
OH0655109OtherAETNA
OH0950160001OtherMEDICARE DME
OH0800389OtherUHC
OHE80874Medicare UPIN
OH0741001Medicare PIN